Thryve Digital Off Campus Hiring | Process Analyst – Fresher

Qualifications

• Bachelor’s Degree/Diploma in any stream
• Freshers – Exposure to claims processing preferred.
• Typing speed of at least 50 words per minute
• Basic computer knowledge (MS Office- excel, word, PowerPoint)
• Required Skills:
• Ability to take direction and navigate through multiple systems simultaneously.
• Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records.
• Ability to use mathematics to adjudicate claims.
• Ability to solve problems within pre-defined methods and guidelines.
• Knowledge of operating systems specific to claim processing.

Job Description & Responsibilities:-

Screens, reviews, evaluate claims based on set audit requirements and shares audit findings for further action, following organizational policies and procedures as part of retrospective quality control review under risk and governance area. Reviews processed claims and inquiries to determine corrective action which can include adjusting claims.

• Determine if the claim information is complete and correct. Enter/verify claims data.
• Resolve claim edits (suspensions), review history records and determine benefit eligibility for service. Review payment levels to arrive at final payment determination.
• Meets all production and quality standards.
• Elevates issues to the next level of supervision, as appropriate.
• Maintains accurate records, including timekeeping records.
• Other duties as assigned or requested.

Job Category: Business Process Audit & Compliance – Claims Adjudication